Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 1/ —� "� 7� <br />425-257-8810 - FAX 425-257-8857 — www.evereltwa.org � 1 2�� ,Q r%/ <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />I �:��6 .�14 l i-� � j%i��� I. <br />PROJECT AODRE33 <br />3 H !��'��i �<��{� �C � <br />Owner <br />Tenant <br />OW �t e-� <br />Elecirical CoNractor <br />Stcte License Number <br />C� (" I` <br />1 <br />Proposed Use ol Building <br />S W L: V(: 121= I I <br />01;��� �t-S�z <br />Mail Addrese <br />Meil Address <br />Meil AOdress <br />>l=�� i I(� <br />City <br />City — <br />City <br />Square Footage (H residenlial new constiuction, remodel or addition) <br />Description ot Work lo �e Done: <br />�o� i �8 <br />w�� `�8��� � L�4-4�� <br />SlalefZip Phone <br />Slate/Zip Phune <br />StatalZip Phone <br />Contract Pdce of Work <br />Contacl Person (Plan Raview) <br />�/1({I III�CC tlCi� - <br />NUTE WIRING IN NOiJ-DWELLINGS IS RE�UIRED TO <br />�E IN RACEWAYS, MC UR AC CA�LE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hc�eby mrtily fhat I havo mad nnd examined Ihis applicnlion and know tho samo fo bo frue and <br />cnnect. All provisions ollaws ond ordinnncas govem�ng this lypo ol work will bn completed <br />�•dicfher spocilicd hernin ornof. Tho granfing r/ri pennR does not resumo lo givo auflronty fo <br />violaf� or cancel fho /vovisimis ol any othor sh te or /ocal law reguPling consfnichon or fho <br />pedonnr�nce o/conslmction. Thnt I t�m aulhonzeU hy Ihn owner o/fhisp roperty fo pedomt fhe <br />work Ior which npplicafion is maAo nnd I compty �vifh fho Stafe ConVac(ors Lnw 18.27 RC W end <br />296200 WAC. � <br />i <br />No✓ �� Cl, , 2 � j z <br />FEE <br />5 QC� i <br />�_17,� � - C.�7 � <br />